ESRD Network Resources on Home Dialysis topics
The ESRD Conditions for Coverage under the Condition for Patients' rights at 42 CFR 494.70(a)(7) states that patients have the right to be informed about all treatments and settings. In 1978, the government authorized the ESRD Network Organization program to improve cost effectiveness, quality of care, encourage kidney transplantation and home dialysis, and help patients return to work. At first there were 32 ESRD Networks, then 17, and today there are 18. They are organized under these organizations:
IPRO (ESRD Networks 1, 2, 6 and 9; 13 states)
Quality Insights (ESRD Networks 3, 4, and 5; 6 states, DC and 2 territories)
Health Services Advisory Group (HSAG; 5 ESRD Networks; 13 states and 3 territories). For-profit.
Alliant Health Solutions (ESRD Networks 8 and 14; 3 states)
Qsource (ESRD Networks 10 and 12; 5 states)
Midwest Kidney Network (ESRD Network 11; 5 states)
Comagine Health (ESRD Network 16; 5 states).
The map shows which states are under each Network. CMS contracts with ESRD Networks for certain quality improvement activities (QIA). One QIA is to increase the use of home dialysis. I was curious to learn what resources Networks share with patients, dialysis clinics, and their staff about home dialysis. To find out, I reviewed the home dialysis content on all ESRD Network sites. I used search fields where available on websites and where not available, searched under headings. Below are the home dialysis resources I found. Click the hyperlinks to access the ESRD Network site and home dialysis resources on that site.
IPRO
IPRO ESRD Network of New England - Network 1 (CT, MA, ME, NH, RI, VT)
IPRO ESRD Network of New York - Network 2 (NY)
IPRO ESRD Network of the South Atlantic - Network 6 (GA, NC, SC)
ESRD Network of the Ohio River Valley - Network 9 (IN, KY, OH)
Under Patient & Family, click Patient Education to find these home dialysis resources:
Tools and Resources for New Dialysis Patients
Understand Your Treatment Options
Quality Insights
Quality Insights Renal Network 3 (NJ, PR, VI)
Under Patients & Families look for New Patients for multiple resources from the ESRD National Coordinating Center (more on NCC later). This Network's Scope of Work includes Home Dialysis Quality Improvement Activity and has:
5-Diamond Patient Safety Program Home Therapy Module (sign in required)
MEI's My Life My Dialysis Choice (now My Kidney Life Plan) (decision aid, MEI)
Home Dialysis Resources (searchable database of PDFs)
Patient Voices: My Home Dialysis Experience (10 videos of QIRN 3, 4, 5 patients)
Quality Insights Renal Network 4 (DE, PA)
Under Patients & Families look for Patient Education.
Treatment Options describes options in text
Resources has links to other sites, including these that address home dialysis:
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MEI's Kidneyschool.org (education modules)
MEI's My Life My Dialysis Choice (now My Kidney Life Plan) (decision aid)
Quality Insights Renal Network 5 (DC, Maryland, Virginia, West Virginia)
Under Patients & Families” find text on options, plus:
MEI's Kidneyschool.org (education modules)
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Network 5 PAC Member Story about home dialysis (3:54 minute video)
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Patient Voices: My Home Dialysis Experience (10 videos of QIRN 3, 4, 5 patients)
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MEI's Home Dialysis Central
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MEI's My Life My Dialysis Choice (now My Kidney Life Plan) (decision aid)
Under Ongoing Projects, this Network describes a Home Dialysis Quality Improvement Activity with:
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MEI's PATH-D Tools (PDF)
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Home Dialysis - The Patient Perspective: Tips for Success (12:37 video)
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Transitioning to Home Dialysis (43:02 audio, RSN)
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How to Overcome Barriers and Establish a Successful Home HD Program (article)
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Home Dialysis First: A New Paradigm for New ESRD Patients (article)
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Home Dialysis Resources (searchable database of PDFs)
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Health Services Advisory Group (HSAG)
ESRD Network 7 (FL)
ESRD Network 13 (AR, LA, OK)
ESRD Network 15 (AZ, CO, NV, NM, UT, WY)
ESRD Network 17 (AS, GU, HI, NMI, N CA)
ESRD Network 18 (S CA)
From the HSAG ESRD Networks' page, click Home Dialysis for multiple webinars:
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Growing Home Dialysis (75:30 min. video)
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In-Center to Peritoneal Dialysis Conversion (57 minute video)
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Telemedicine and Home Dialysis: Our Future Together (53 minute video)
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Transitional Care Unit (58:49 minute video)
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Home Dialysis (57:40 minute video)
See Treatment Options under Patients & Families to find:
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Choosing a Treatment that's Right for You (English / Spanish) NIDDK
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Dialysis: How I Took the Road Home (2:53 minute video of home patients)
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MEI's Home Dialysis Central
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MEI's My Life, My Dialysis Choice (now My Kidney Life Plan) (decision aid)
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Peritoneal Dialysis Resources (videos, audios, web resources, handouts, English/Spanish)
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Who Do I Talk to if I Want to Try a Different Treatment for ESRD? (English / Spanish). PDF)
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My Home Dialysis Travel Checklist (1:22 minute video)
Home Dialysis Quality Improvement LAN (Learning & Action Network) - Recorded webinars from 2018 (5 webinars), 2019 (4 webinars), and 2020 (1 webinar)
Under Patient Education Resources
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MEI's Your Kidney Treatment, Your Choice—Article on home dialysis options from Home Dialysis Central.
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MEI's Home Dialysis Treatment Compared (PDF) Home Dialysis Central.
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Telemedicine Resources:
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The Doctor Will See You Now: Telemedicine Makes It Easy (PDF) flyer—Patient guidance on questions to ask your doctor during your telemedicine visit.
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ESRD Provider Telehealth and Telemedicine Toolkit (PDF)—Facility guidelines published by the Center for Medicare and Medicaid Services (CMS).
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Patient Telehealth and Telemedicine Education webpage—Patient education on how to get started with telehealth and telemedicine during COVID-19 and what to expect per CMS provided education.
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Consider Your Dialysis Choices: Choosing the Right Option for You!
Developed by the ESRD NCC LAN, this patient-friendly resource reviews different dialysis options and what needs to be considered for each one: English / Spanish (PDF)
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MEI's My Life, My Dialysis Choice (now My Kidney Life Plan) (English / Spanish)
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Uncovering Myths About Home Dialysis—Myth vs. Reality (PDF, ESRD NCC)
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Don't Get Stuck in a Rut (PDF) (Network 15)
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Know the Facts about Home Dialysis Treatment Choices (English / Spanish) (PDF, ESRD NCC)
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Take the Time to Think About Your Modality Choice (English / Spanish) (PDF, Network 15)
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Home Dialyzors United Home Dialysis Resources (60+ videos plus more)
See Dialysis Facility Resources
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Let's Talk: Home Dialysis Conversation Cards: Open a dialogue about home dialysis options, quality of life, family, schedule flexibly, travel, and diet. (ESRD NCC webpage)
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Considering Home Dialysis During a COVID-19 Environment—An ESRD NCC patient Quickinar event for patients and providers (June 2020)
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Download Slides (PDF)
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View Recording (29:55 minute video)
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Reporting Home Training in CROWNWeb—This "how to" helps report home dialysis training information to CROWNWeb. Network 7, Network 15, Network 17.
What's Your Plan?—What's Your Plan to Increase the Number of Patients Transitioning Through the 7-Steps to Home Dialysis? walks you through the Plan-Do-Study-Act (PDSA) cycle for moving your in-center patients through the steps to home dialysis training, including helpful examples for each course of the cycle. Network 7, Network 17 (PDF)
7 Steps to Home Dialysis Tracker (Excel) Use the Tracker to document each patient's status as they transition from home dialysis interest to starting training.
Could Home Dialysis Be a Choice for Me?—Use this checklist to discuss home dialysis as a treatment option with patients to gauge interest, as well as to discuss patient interest with the Interdisciplinary Team during QAPI meetings. Network 7, Network 17 (PDF)
Tips for Engaging Patients When Hosting a Home Dialysis Lobby Day —This one-page tip sheet covers how to engage patients in a successful Home Dialysis Lobby Day. Network 7, Network 17 (PDF)
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Peritoneal Dialysis (PD) as a Permanent Access Option (PDF) (Network 7) One-page tool explains what PD is and helps a patient see if PD might be a viable option.
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Use the Quality Assessment and Performance Improvement (QAPI) QIA Monitoring Form to track education, interest, referrals, and transitions to home and for discussion of progress toward goals during QAPI meetings.
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Network 7 (PDF) Fillable PDF
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Network 17 (PDF) Fillable PDF
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Use this patient SME-identified tool (PDF) to educatie patients on home treatments: http://www.esrdnetwork18.org/wp-content/uploads/Myth-Hemodialysis-Final.pdf
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Home Modality Monthly Tracker (Excel; Network 15)
Take the Time to Think About Your Modality Choice (PDF; Network 15) best fit educational tool. Encourages patients to consider options and links to a video and booklet.
See Peer Mentoring Resources
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Tips to Improve Patient Engagement at the Facility Level, Network 7, Network 17 (PDF)
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Use the Patient Education & Engagement Representative (PEER) Program (PDF) to help your clinic identify a peer mentor or home patient peer advocate.
Alliant Health Solutions
Alliant ESRD Network 8 (AL, MS, TN)
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Search the Resources for topics on home dialysis:
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MEI's MATCH-D (MEI) (PDF)
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A Change Package to Increase Home Dialysis (18 page PDF manual)
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ESRD Home Improvement Plan & Guide (Home Dialysis Improvement 4 Month Plan)
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ESRD Home vs. In-center (PDF)
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Search Resources for these topics on home dialysis:
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MEI's MATCH-D PDF; Home Dialysis Central)
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A Change Package to Increase Home Dialysis (18 page PDF)
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NW 14 Understanding Your Hemodialysis Options (AAKP booklet)
Qsource ESRD Networks
ESRD Network 10 (IL)
ESRD Network 12 (IA, KS, MO, NE)
This site has no search field, but you can find home dialysis resources in several places. You can view some PDFS, but must download to view and save others.
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See Patients, then Education & Resources and Kidney Treatment Options for Home Dialysis:
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Peritoneal Dialysis (PDF)
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Ten Benefits of Home Dialysis (poster)
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Under Resources, see Podcasts for:
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From Home Dialysis to Kidney Transplant with Anja (27 minute audio)
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Under Resources, see Patient Stories for:
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Doing My Dialysis at Home—Jeffrey Cauley's Home Hemodialysis Experience (25:09 minute video)
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ESRD12 Treatment Choices (14:07 minute video)
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ESRD12 Home Dialysis (10:30 minute video)
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ESRD12 My Life V1 (14:49 minute video)
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ESRD12 Cannulation Toolkit V1 (3:17 minute video)
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ESRD12 My Treatment Tips (9:36 minute video)
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Under Providers, find Quality Improvement, then Quality Improvement Activities and look for Home Referral
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A Change Package to Increase Home Dialysis Use (ESRD NCC PDF, 2023)
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Home Referral Resources:
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Explore Your Kidney Treatment Options (PDF patient brochure)
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Ten Benefits of Home Dialysis (poster)
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Home Therapy Flier (PDF)
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Is Home Dialysis Right for Me? (PDF poster)
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Home Dialysis Passport (PDF)
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Home First Approach: A Resource for In-Center Hemodialysis Units (PDF)
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Home Sweet Home (flyer)
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Helpful Resources and Websites
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MEI's Home Treatments Compared (Chart, Home Dialysis Central)
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Consider Your Dialysis Choices (PDF, ESRD NCC)
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MEI's My Life, My Dialysis Choice (now My Kidney Life Plan) (English / Spanish)
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MEI's MATCH-D PDF; (Home Dialysis Central)
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MEI's How-to Manual for Buttonhole Cannulation PDF, Home Dialysis Central
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MEI's Kidney School Module 2: Treatment Options for Kidney Failure (English/Spanish)
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MEI's Home Dialysis Central
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RSN Hope Dialysis Treatment Options multiple resources
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AAKP Resources (multiple patient education links)
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Spanish items are under Resources, then Dialysis Access and Treatment Options (Spanish):
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Visit the Qsource ESRD ResourceHub to find other resources not listed above.
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Harvest the Benefits of Home Dialysis Bulletin Board Kit (PDF)
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Nursing Home Staff Education: How to Care for Your Dialysis Patient Outside of Dialysis (PDF)
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The Possibilities of Dialysis in a Nursing Home Setting (70:34 minute video)
Midwest Kidney Network
ESRD Network 11 (MI, MN, ND, SD, WI)
Under Providers, choose Quality Improvement Projects and look for Home Dialysis to find:
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Home Dialysis Project (PDF)
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Home Dialysis Project Toolkit of Resources (Word) lists barriers & resources
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Kidney Sundays (PDF)
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Home Dialysis: Possible Barriers to Overcome (24:54 video with home patient, Forum)
Additional Resources
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Congratulations: Home Dialysis (PDF, ESRD NCC)
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MEI's MATCH-D PDF; (Home Dialysis Central)
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MEI's How to Talk to Patients About Home Dialysis (Home Dialysis Central)
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MEI's My Kidney Life Plan (English/Spanish, decision aid)
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Sample Home Dialysis Champion Job Description (Word) (July 2023)
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Home Dialysis from In-Center to Home: Quality Improvement Plan - 4 month plan (PDF)
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Patients New to Dialysis to Home Quality Improvement Plan - 4 month plan (PDF)
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Home for the Holidays From MD Office to Home QI Plan - 4 month plan (PDF)
Comagine Health
ESRD Network 16 (AK, ID, MT, OR, WA)
This Network sends materials to dialysis clinics that are not on its website. Under Patients & Families, look for Treatment Options to find:
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Home Dialysis, includes text describing the types of home dialysis and Resources:
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MEI's Help! I Need Dialysis! How to Have a Good Future With Kidney Disease (book. NOTE: Out of print. New book; My Kidney Life: A New Direction launches June, 2024)
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MEI's Home Dialysis Central
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MEI's Life Options
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My Choice, Home Dialysis (11:06 minute video, ESRD NCC) Patients explain their choices.
ESRD National Coordinating Center (NCC)
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Consider Your Dialysis Choices: Choosing the Right Option for You! English / Spanish (PDF)
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Questions to Help with Your Treatment Choices English / Spanish (PDF)
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Questions to Ask When Considering a Home Dialysis Option English / Spanish (PDF)
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Choosing Home Dialysis with Your Care Team English / Spanish (PDF)
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Know the Facts About Home Dialysis Choices English / Spanish (PDF)
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Treatment Options: Peritoneal Dialysis English / Spanish (PDF)
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Treatment Options: Peritoneal Dialysis (1:35 minute video)
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Home Dialysis May Be the Right Option for You (1:25 minute audio)
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Home Dialysis: It Could Be the Right Treatment for You (4:41 minute video)
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Home Dialysis Discussions: Timely Talks with a Caregiver (13:36 minute video)
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Home Dialysis Discussions: Timely Talks with a Nephrologist (18:23 minute video)
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Home Dialysis Peer Connection Call (57:54 minute podcast)
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Caregiver Peer Connection Call (44:44 minute video, July 2020)
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Caregiver Peer Connection Call (43:19 minute video, May 2020)
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Caregiver Peer Connection Call (50 minute video, April 2020)
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Caregiver Peer Connection Call (49:07 minute video, July 2019)
Forum of ESRD Networks
Under Professionals, look for Toolkits, then find:
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Home Dialysis Toolkit (Forum of ESRD Networks Medical Advisory Council, 2023)
Under Resources & News, look for Transitional Dialysis Care:
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Transitional Care Units, (90 minute talk by David Henner, DO, at NKF Spring Clinicals, 2022)
Conclusion
There could be other home dialysis resources that I didn't find. If you read this blog and are aware of other ESRD Network, ESRD Network Coordinating Center, or Forum of ESRD Network resources on home dialysis that I didn't list, please use Comments to add the resource with its name and the link to it. With this wealth of information, the regulatory mandate to inform patients about all options for treatment and settings, and CMS' models that promote home dialysis, we should see an increase in the percentage of people with kidney failure who do home dialysis over time.
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